| NPI | 1932603370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TX V1402) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KS 04-46470) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2024-08-02 |